Here are some other local, state or national stories we are reading that may impact you, your practice or your patients.

Tougher Vaccine Rules Move Forward in California | California lawmakers moved ahead Wednesday with tougher rules that limit parents from choosing whether to vaccinate their schoolchildren as a handful of opponents shouted "We will not comply" inside the Senate. Senators sent the measure to the Assembly as the nation struggles to stem the highest number of measles cases in decades and as state efforts to strengthen vaccine requirements draw emotional opposition. The California proposal would give state public health officials instead of local doctors the authority to decide which children can skip their shots before attending school.

Viewpoint: 7 factors that negatively impact physicians' EHR use | Physicians experience various factors that negatively impact their EHR user experience and leave them spending more time on administrative tasks than direct patient care, according to an essay published in the Journal of the American Medical Informatics Association. American Medical Association researchers, led by Michael A. Tutty, PhD, AMA  vice president of professional satisfaction and practice sustainability, outlined seven factors that can negatively influence physicians' experience with EHRs. The researchers concluded that EHR vendors, regulatory agencies, insurance payers and healthcare organizations must collaboratively understand how the decisions they make surrounding the EHR affect physician satisfaction and patient care.

Where all the 2020 Democratic presidential candidates stand on health care | When Democrats campaigned on health care in the 2018 midterms, it helped win them back the House. And now that more than 20 of them are running for president, they're starting to stake out their positions on how to overhaul the system.  CBS News exit polling found health care was the number one issue among voters casting their ballots in the midterms. Since then, one of the most talked about Democratic proposals would establish a new single-payer government-run insurance program as outlined in Sen. Bernie Sanders' "Medicare for All" Act. Sanders' bill would make private insurance supplemental for those who choose to get it, while aiming to provide a basic level of care for all Americans paid for by taxes. A similar bill by the same name has also been introduced in the House.

A shortage of data scientists could be holding back advances in healthcare | The tools to unlock healthcare advances in big data already exist, but implementing those tools will require a change in approach. Booz Allen Hamilton Chief Medical Officer Kevin Vigilante, M.D., M.P.H., and co-author Steve Escaravage, M.S., a senior vice president at Booz Allen’s digital, analytics and strategy practice, recently published an op-ed in the New England Journal of Medicine laying out their vision of the intelligence community as a model for healthcare leaders dealing with the ever-increasing volume of data the industry accrues. Some experts have suggested looking to commercial tech companies like Netflix or Google, but Vigilante and Escaravage say those companies cover a much narrower set of data types. They also don’t require nearly the degree of precision and security in their datasets that researchers in the healthcare space do.

Oncologists set to lose big under CMS payment model | New estimates released Tuesday [May 21] by Avalere Health projected around 70% of the 176 oncology practices participating in the Oncology Care Model would owe the CMS payments to recoup costs if they moved from their current one-sided, upside risk arrangement to a two-sided risk arrangement where they would be responsible for paying the difference if they did not meet a target price for services. Started in 2016, the Oncology Care Model is a five-year, voluntary bundled-payment model to give providers incentives to improve care quality and create efficiencies that lower costs. Currently Oncology Care Model providers can generate revenue by providing care below the target price set by the CMS and do not incur penalties when they exceed those cost targets. Starting in July, the CMS will require participating practices to switch from the one-sided risk arrangement and enter into a two-sided risk arrangement where they will face financial penalties for not meeting cost targets.

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